Doctor Name: | KERWIN FLORA |
NPI Number: | 1750634630 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070019483 |
Business Practice Address: | 1841 W Army Trail Rd Addison, IL - 601011901 |
Business Phone Number: | 6302389235 |
Business Fax Number: | |
Mailing Address: | 125 106th Ave Nw, COON RAPIDS |
State: | MN |
Postal Code: | 554485059 |
Phone Number: | 7632457746 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070019483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |